| NPI | 1518413970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C0007220) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2019-07-19 |